Reborn I have a super medical system

Chapter 24

Yang Xiaoyun thought to himself, it really is a narrow road to Yuanjia.The person who spoke was Fang Xuemei!The person Yang Xiaoyun met when he was studying in the county hospital made Yang Xiaoyun not so happy.Unexpectedly, we could meet again here and live in the same dormitory. I have to say, this is a bad relationship!
"Fang Xuemei, long time no see, your words are still so unpleasant." Yang Xiaoyun is not a steamed stuffed bun, she knows that in this world: good people are bullied by others, and good horses are ridden by others.So, for Fang Xuemei, she was treated rudely.

Fang Xuemei was angry when she saw Yang Xiaoyun, but she didn't expect Yang Xiaoyun to say that about her, so she became even angrier.However, in front of everyone, she is not easy to get angry.In the past few years, she has also learned a lot, not as reckless as before, but she still couldn't control her emotions when she saw Yang Xiaoyun.

After studying in the county hospital three years ago, Fang Xuemei returned to the medical center in the village. Fang Xuemei studied under her father for another year, and then her father sent her to the county hospital in a neighboring county after giving gifts and begging for help. .Why neighboring counties?Because her father has acquaintances there.

In the county hospital, Fang Xuemei suffered a lot.Originally, he was not forgiving, so he offended many people.However, she did have a high medical talent, coupled with her own hard work, she came out on top in her department.The most important thing is that the old doctor Wang of the county hospital took a fancy to her talent and took her as an apprentice, so she got such a precious learning opportunity.

Fang Xuemei just couldn't figure out why Yang Xiaoyun easily got the learning opportunity she had won so hard.She didn't admit that Yang Xiaoyun was better than her at all, she hated this woman from the bottom of her heart.Therefore, she decided that she must overwhelm Yang Xiaoyun this time, and let her understand who is more powerful.She didn't believe that Yang Xiaoyun, an aunt who became a monk halfway through the countryside, could compare to her family background.

Yang Xiaoyun felt that Fang Xuemei was just a spoiled child, so she didn't want to argue with her.She came here to learn, not to fight someone.Therefore, Yang Xiaoyun ignored Fang Xuemei and just went about her own business, not to mention that Fang Xuemei had already regarded her as a crushing target.

After a day of rest and adjustment and a study arrangement meeting, Yang Xiaoyun roughly understood the content of the study.First of all, their learning content is diagnosis, that is, to judge the patient's condition based on the data and information provided by the teacher.This point, Yang Xiaoyun has reason to believe, is definitely not some simple disease, but a complex or confusing disease.

Secondly, what they need to learn is the emergency handling method in a critical situation. After the theoretical study is completed, there will be simulation training.

Thirdly, it is the learning in the laboratory stage, which uses live animals as experimental objects, and dissects, cuts, sutures and other related treatments on animals.It is impossible to train a chief surgeon in such a short period of time.It is the original intention of the hospital to train some assistants or second-hand doctors.

Finally, the provincial hospital will assign them to different departments and different chief doctors for one-to-one or one-to-two individual guidance.Of course, before the end of this training, a comprehensive test should be conducted.The test is divided into two parts, one is a written test and the other is practical.

The provincial hospital will award the top ten doctors with outstanding graduate medals. More importantly, with this honor, these people who return to the county hospital will have the opportunity to be promoted.Therefore, after studying and arranging the meeting, the doctors transferred from various county hospitals were gearing up and eager to try.

In this study, basically each county hospital has ten places. Below the capital city of Province S, there are a total of eight suburban counties, and the young doctors from these eight suburban counties participated in this study.Therefore, more than 80 young doctors participated in this study, and all of these people are new forces in the county hospital.

Therefore, Yang Xiaoyun soon fell into intense study. What she didn't expect was that Fang Xuemei would fight her like this. As long as Yang Xiaoyun was interested in something, Fang Xuemei would definitely pursue her.Fang Xuemei turned into a radar, as long as there is Yang Xiaoyun, whenever there is Yang Xiaoyun speaking, Fang Xuemei is like a challenger full of fighting spirit, moving forward bravely, but repeatedly blocked.

Just like today, at this stage, the study is on disease differentiation, and the teacher in the class is Dr. Chen, the most famous chief physician of obstetrics and gynecology in the provincial hospital.In class, Dr. Chen listed a case: "A woman, aged [-], had a sudden onset of crushing pain in the chest area half an hour after giving birth, without radiation, accompanied by chest tightness, shortness of breath and profuse sweating, without nausea and vomiting. The patient was previously healthy, without three highs, no bad habits, and no family medical history."

Dr. Chen continued to read: "The body temperature is 36.7 degrees, the pulse rate is 108 beats per minute, the blood pressure is 122/73mmHg, the spirit is clear, restless, pale, the lips are not cyanotic, the lungs have no dry and wet rales, and the heart rate is 108 beats per hour. Within minutes, the rhythm is regular, the heart sounds are low and blunt, and no murmurs are heard in each valve area."

"I have some inspection reports here. Now you are a group of six people. Each group will distribute the information I just read and the inspection report. Give you two 10 minutes to discuss, and then send a representative, Come to the stage one by one to explain the results of your group's discussion." Dr. Chen said seriously.

Soon, everyone was divided into fourteen groups, and a heated discussion took place.Fortunately, Yang Xiaoyun was not in a group with Fang Xuemei, otherwise, it would definitely affect her thinking.

In fact, after listening to Dr. Chen's narration, Yang Xiaoyun had his own verdict in mind.Just the mothers I met in the village in the past two years, there are all kinds of situations.Therefore, she has been exposed to the symptoms Dr. Chen mentioned before.It was preliminarily determined that the patient had acute myocardial infarction.

However, not everyone has contacted so many patients like Yang Xiaoyun; nor does everyone have the guidance of a super medical system like Yang Xiaoyun.Therefore, Yang Xiaoyun found that the people in their group held their own opinions, but everyone was not sure about their answers, except Yang Xiaoyun.

We are all elites among young doctors, so we naturally understand that it may not be a good thing to be in the early stage at this time.Because this symptom is too special.For this reason, they voted for Yang Xiaoyun unanimously without hesitation when they recommended someone to come on stage to explain.As the saying goes: A dead fellow Daoist will never die a poor Taoist!
Yang Xiaoyun also saw their intentions, but she didn't shirk it.How could she give up such a good opportunity to show herself?

The time was up soon, and the representatives of each group got up one after another and walked to the side of the podium.They lined up in an orderly manner, preparing to go up one by one to explain the results of their group discussions.And Yang Xiaoyun met Fang Xuemei again, there is no doubt that Yang Xiaoyun must win this time.However, Fang Xuemei still provoked Yang Xiaoyun recklessly.

"Are you all idiots in your group? Why did you get selected? Don't cry!" Fang Xuemei whispered in Yang Xiaoyun's ear without shame.

Yang Xiaoyun just glanced at Fang Xuemei, which contained sympathy and ridicule, and listened attentively to the explanation of the colleague in front of her.

Dr. Chen frowned while listening to the people on the stage.These people's ideas are wild and unconstrained, and some statements are even groundless.Is the overall quality of this group of people like this?Dr. Chen was a little discouraged, but he listened unwillingly.

Until Yang Xiaoyun came to power.Yang Xiaoyun looked at the dense crowd of people below, she was not nervous because she was very sure of her answer.On the contrary, there is a feeling of pride and self-confidence, which arises spontaneously.

"In view of the fact that the patient has no risk factors for pregnancy-related myocardial infarction such as three highs, diabetes, and bad habits, however, intravascular ultrasound in this patient did not show coronary atherosclerosis, and the probability of coronary thrombosis is small. No coronary artery spasm or coronary artery dissection was found on the angiography, so it is presumed to be coronary artery embolism." Yang Xiaoyun's explanation caused an uproar in the audience.

However, Dr. Chen finally relaxed her brows, and she nodded. It seems that this student has a lot of clinical experience.Doctor Chen's expression was still serious, without any relaxation.

"The patient is a young woman, there is no basis for the source of left heart and arterial emboli, and the cardiac B-ultrasound indicates that there is a patent foramen ovale. It may be considered that the patient is pregnant, and the venous return of the lower extremities is not smooth due to the increased abdominal pressure. The body is in a hypercoagulable state, and the deep veins of the lower extremities are prone to thrombosis." Yang Xiaoyun didn't care about the comments of the people below, and continued.

At this time, Dr. Chen had a smile on his face, and she nodded frequently, signaling Yang Xiaoyun to continue.And Fang Xuemei, who was behind Yang Xiaoyun, wanted to bite her teeth, this Yang Xiaoyun was simply too hateful!
"During the delivery of the fetus, the hemodynamics in the mother's body undergoes sharp changes, the abdominal pressure drops sharply, the amount of blood returned to the heart increases significantly, the embolus falls off, and flows back into the right heart with the blood. When the mother gives birth, positive pressure breathing makes the venous pressure, that is The pressure of the cardiac system increases temporarily, and right-to-left shunt occurs. At this time, the embolus enters the left heart and then enters the coronary artery, resulting in paradoxical coronary artery embolism. Well, the above is the result of our team's discussion on this disease. " Yang Xiaoyun's last words stunned everyone in their group.

Unexpectedly, this young woman would give them the credit.You know, this is the result of Yang Xiaoyun's thinking alone, and they didn't play any role.However, Yang Xiaoyun's behavior made the members of her team look up to her because of her big heart.

Dr. Chen stood up first, smiling and applauding.Immediately, there was a burst of warm applause in the classroom.There was only one person who raised his hand unwillingly, and still didn't take the picture, but put it down decisively.This person, needless to say, is Fang Xuemei.

"Colleagues in the back, do you have any different opinions? Or add clarifications?" Dr. Chen turned to look at the representatives behind who hadn't spoken yet.

Everyone shook their heads in unison.Fang Xuemei thought to herself: You have already taken the lead in applauding, so what else is there to say!What a waste.

"So, next, let me summarize. The diagnostic criteria for paradoxical embolism are: systemic or cerebral arterial embolism without left-sided heart, arterial source of embolism; deep vein thrombosis or pulmonary embolism; right-to-left shunt of the heart ; There is persistent or transient increase in pressure in the right heart system. In young people with arterial thromboembolism, when the source of the embolus is unclear, paradoxical embolism should be considered.” Dr. Chen concluded.

The people sitting below are all immersed in taking notes. This is a rare learning opportunity, and everyone will naturally not let go of any opportunity to improve themselves.Except for one person, it was Fang Xuemei.She was still immersed in unwilling emotions, and she didn't notice that Dr. Chen had dragged her into the blacklist at all.

(End of this chapter)